The Maternal Mirror Syndrome is a rare disorder first described by Ballantyne.


Synonym: pseudotoxemia, maternal hydrops, early onset preeclampsia


Patient selection: pregnant woman


Hydrops is present in the fetus and precedes the maternal changes.


Fetal conditions may include:

(1) Rhesus incompatibility

(2) twin-twin transfusion syndrome

(3) viral infection

(4) fetal malformations

(5) fetal tumors

(6) placental tumors


Findings in the mother secondary to (“mirroring”) the fetal hydrops:

(1) water retention with edema

(2) hypertension

(3) proteinuria

(4) eclampsia


The onset is usually from 22-28 weeks of gestaton.


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